Ortopedia e Traumatologia - Sizínio 4ed - Free ebook download as PDF File .pdf ) or read book online for free. ortopedia e traumatologia-Sizínio 4ed. Ortopedia e traumatologia Hebert Sizinio - documento [*.pdf]. Resultados da busca para livro ortopedia e traumatologia hebert sizinio no Baixaki. Você pode filtrar os resultados por sistema operacional, licença, downloads.
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GOLD, J. O tratamento das lesões de partes moles para garantir a melhor cobertura possível deve ser iniciado. Características anatômicas da cartilagem da fise. Tibial pilon fractures: a comparison treatment methods. In Gomes LSM. Cirurgia de Urgência e Trauma.
Ortopedia e traumatologia Hebert Sizinio - documento [*.pdf]. Resultados da busca para livro ortopedia e traumatologia hebert sizinio no Baixaki. Você pode filtrar os resultados por sistema operacional, licença, downloads. R$ 12x R$ 30 Frete grátis. 5 vendidos Ortopedia E Traumatologia Principios E Prática 5ed - Sizinio. R$ 5x R$ 5 sem juros. 3 vendidos. Ortopedia e Traumatologia: Principios e Prática. Sizínio Hebert, Tarcísio eloy p. Barros filho, Renato Xavier, Arlindo gomes Pardini junior Hotsite da obra Ortopedia e traumatologia: princípios e prática, 5ª edição. Sizínio K. Hebert; Tarcísio de Barros Filho; Renato Xavier; Arlindo Pardini Jr. &.
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This soft-tissue injury, however, usually is localized to the lateral side and may help identify a minimally displaced fracture. More extensive soft tissue swelling at the fracture site may indicate more severe soft-tissue injury, which may indicate that the fracture is unstable and prone to late displacement.
C o ligamento colateral lateral. D o ligamento colateral medial. C artroplastia unicompartimental medial. Contraindications to a proximal tibial osteotomy are 1 narrowing of lateral compartment cartilage space, 2 lateral tibi al subluxation of more than 1 cm, 3 medial compartment tibial bone loss of more than 2 or 3 mm, 4 flexion contracture of more than 15 degrees, 5 knee flexion of less than 90 degrees, 6 more than 20 degrees of correction needed, 7 inflammatory ar thritis, and 8 significant peripheral vascular disease.
B aumento da distância dos processos espinhosos. C aumento da distância interpedicular da vértebra fraturada. D presença de mais de cinco fragmentos da vértebra fraturada. B ser observada com radiografias seriadas. D ser operada com artrodese das vértebras envolvidas na curvatura. Curves of 30 to 40 degrees in skeletally mature patients generally do not require treatment, but because studies indicate a potential for progression in adult a dult life, these patients should be observed with yearly standing posteroanterior radiographs for 2 to 3 years after skeletal maturity and then every 5 years throughout life.
Na deficiência femoral focal proximal, a anomalia congênita mais comumente associada é A coxa vara. B hemimelia fibular. C pé torto congênito. D pseudartrose congênita da tíbia. Fibular deficiency is the most common cause of long bone congenital limb deficiency, when considering that fibular deficiency often accompanies femoral deficiency.
Femoral deficiencies arc the next-most common, with an incidence between 1 in 50, and 1 in , live births. Femoral deficiencies include the spectrum of the congenital short femur with a stable hip joint and a knee without significant contracture to proximal femoral focal deficiency PFFD.
The prevalence of tibial deficiencies is far less than either fibular or femoral deficiencies and is reponed to be approximated one per million live births. Na pseudartrose congênita da tíbia, a deformidade angular característica é A anterolateral. B anteromedial. C posterolateral. D posteromedial. Congenital Pseudarthrosis of the Tibia Definition. Bowing of the tibia that presents at birth typically is either anterior, anterolateral, or posterior medial Anterior tibial bowing that occurs in association with a deficient or absent fibula is diagnostic of fibular hemimelia.
Posterior medial bowing occurs in association with calcaneovalgus foot deformity and has a good prognosis. In oontr: ast, anterolateral bowing. Anterolateral bowing associated with congenital pseudarthrosis of the tibia CP1 is rare , , ytt it is the most common type of congenital pseudarthrosis.
This bowing may be the first clinical manifestation of neurofibromatosis. B glenoumeral médio. C glenoumeral inferior. D glenoumeral superior. B anterior e anteromedial.
C posterior e posterolateral. D posterior e posteromedial. Congenital radial head dislocation may be bilateral or unilateral It is defined by the din:ction of subluxation or dislocation. Most congenital dislocations are posterior or posterolateral. It is important to distinguish the congenital dislocation from the posttraumatic dislocation. Because the condition frequency presents late, this distinction can be confusing , This is especially true for willateral anterior dislocations in otherwise healthy children Radiographic criteria have been established to distinguish this lesion from a chronic, traumatic dislocation.
These include a small, dome shaped radial head; a hypoplastic capitellum; ulnar bowing with volar convexity in the anterior dislocation and dorsal convaity in the posterior dislocation; and a longitudinal axis of the radius that does not bisect the capitellum. A Monteggia type III fracture pattern is created when a varus force is applied across the extended elbow , resulting in a greenstick fracture of the olecranon or proximal ulna and a lateral dislocation of the radial head.
This has been described only in case reports with a supination force. Diagnosis of these injuries is difficult and may require arthrography or an examination under general anesthesia. C do tibial posterior. Autopsy and surgical findings have confirmed consistent pathoanatomic findings in congenital vertical talus - Most have found contractures of the tibialis anterior, extensor hallucis longus, extensor hallucis brevis, peroneus tertius, peroneus longus, peroneus brevis, and the Achilles tendon.
The peroneus longus and peroneus brevis may be anteriorly subluxed over the lateral malleolus, and the posterior tibial tendon may be subluxed anteriorly over the medial malleolus.
The severe plantar flexion of the talus results in contact of only the most posterior aspect of the talar dome with the distal tibial articular cartilage. There is dorsal extension of the articular cartilage of the talar head to accommodate the proximal articular contact with the navicular, which is wedge shaped with a hypoplastic plantar segment. The head of the talus generally protrudes below the posterior tibial tendon, and the calcaneonavicular, or spring ligament, is markedly attenuated.
The calcaneus is severely externally rotated and everted, with its posterolateral border in proximity to the fibula. The sustentaculum tali and anterior facet of the subtalar joint are exceedingly hypoplastic or absent in the most severe cases.
The dorsal capsule of the talonavicular joint is thickened and contracted. B flexor radial do carpo. C flexor longo do polegar. D flexor superficial do indicador.
According to Spinner, the anterior interosseous syndrome can cause various signs and symptoms. Typically, the patient has pain in the proximal forearm lasting for several hours and is found to have weakness or paralysis of the flexor pollicis longus, the flexor digitorum profundus to the index and long fingers, and the pronator quadratu s.
When the patient attempts to pinch, active flexion of the distal phalanx of the index finger is impossible.
Variations from these signs and symptoms usually result from atypical patterns of innervation. If all of the flexor digitorum profundus muscles are supplied by the anterior interosseous nerve, all of these muscles are weak or paralyzed.
Conversely, if innervation overlaps, and the ulnar nerve supplies the flexor digitorum profundus to the long finger, this finger is spared.
EMG, the Ninhydrin print test, and clinical examination help to differentiate the syndromes. In well-established lesions, atrophy of the forearm flexor mass and of the thenar muscles may be seen. The clavicle is not as important as the scapula in terms of muscle origin, but still serves as the attachment site of several large muscles. Medially, the pectoralis major muscle originates from the clavicular shaft anteroinferiorly, and the sternocleidomastoid originates superiorly.
The pectoralis origin merges with the origin of the anterior deltoid laterally, while the trapezius insertion blends superiorly with the deltoid origin at the lateral margin Fig. Muscle attachment plays a significant role in the deformity which results after fracture: The medial clavicular fragment is elevated by the unopposed pull of the sternocleidomastoid muscle, while the distal fragment is held inferiorly by the deltoid and medially by the pectoralis major.
The undersurface of the clavicle is the insertion site of the subclavius muscle, which is of little significance functionally but serves as a soft tissue buffer in the subclavicular space superior to the brachial plexus and subclavian vessels. B medula ancorada e hidrocefalia. Scoliosis typically develops gradually in patients 40 degree progressed severely and quickly at almost 13 degrees per year.
B gênero e idade no primeiro episódio. C esporte de contato e idade no ato da cirurgia. D esporte de contato e idade no primeiro episódio. B refratura. D paralisia do nervo radial. When using an anterolateral brachialis-splitting approach, it is essential to ensure that the nerve is not under the implant during plate application to avoid iatrogenic radial nerve injury.
B extremidade distal da haste. Knee Pain. Pain that persists at the IM nail insertion site after fracture healing is not unusual, especially if any hardware is prominent or the nail was inserted through the patellar ligament. Tibial Shaft Fractures, page Skeletal Trauma 4th Ed.
B a perda de movimento do joelho.
C o encurtamento maior que 5 mm. D a deformidade angular maior que 5 graus. B margem medial da tíbia. C eminência intercondilar. Também ocorrem frequentemente lesões intra-articulares de tecido mole, tanto aos ligamentos cruzados como aos meniscos. C III. Clinical Features The clinical presentation of a child with this condition depends on the type of discoid meniscus. The child may also have painless giving way resulting in unexplained falls.
Type I and Type II discoid menisci do not usually present until the child or adolescent actually tears the discoid meniscus, which is prone to happen due to its large surface area. These patients have joint-line pain and tenderness, and have an effusion. Catching, locking, and giving way are also suggestive of tears in a discoid meniscus if the location is lateral. This typically occurs in the middle of the child's 2nd decade of life as the child approaches skeletal maturity, or in early adulthood.
B no ventre muscular. B oponente do polegar. C abdutor curto do polegar. D extensor curto do polegar. B 10 mm Hg.
C 15 mm Hg. D 20 mm Hg. Watanabe type III B adutor e abdutor curto. C oponente e flexor curto. D oponente e abdutor curto. Propedeutica Ortopédica e Traumatologia Ed.
PG Burkhalter Cast. This cast is u sed to treat metacarpal or phalangeal fractures. The wrist is placed in 40 degrees of extension and the metacarpophalangeal joints are placed in 70 to 90 degrees of flexion Fig. The cast relies on the intact dorsal hood of the fingers acting as a tension band or a soft tissue hinge. It is usually applied by placing a slab over the dorsum of the forearm and the hand, with the wrist and fingers in the correct position and then applying a forearm cast to secure the slab.
Finger extension is not permitted by the dorsal slab but some flexion is allowed. James Cast. In this position the collateral ligaments of the metacarpophalangeal joints and the interphalangeal joints are stretched maximally and thus contractures will not occur Fig. As with the Burkhalter cast, the James cast is in fact a combination of a slab and a cast. Initially a volar slab is applied to the forearm and hand with the joints in the correct position.
A forearm cast is then applied. B da massa lateral. C do arco posterior. D do processo transverso. Lateral mass fractures are generally the result of combined axial loading and lateral compression. If severe enough, the occipital condyle can settle onto the lateral mass of C2, creating a cock-robin deformity. Unilateral lateral mass sagittal split fractures have been described by Bransford to occur and led to late cockrobin deformity, significant loss of neck rotation, and severe neck pain that required traction and occipitocervical fusion, even in the face of an intact transverse atlantal ligament.
The range of motion of the hip is reduced in all planes of motion, with limitations of abduction and internal rotation being the greatest 12, The limitation in abduction is due to impingement of the greater trochanter on the side of the pelvis.
The loss of internal rotation is due to the loss of the femoral neck anteversion that is a feature of developmental coxa vara. As part of the general clinical examination, other causes of coxa vara should be ruled out, for example, skeletal dysplasias 15, B 12 a 14 anos.
C 15 a 17 anos. D 18 a 20 anos. Pelvic and Acetabular Development The pelvis of a child arises from three primary ossification centers: The ilium, ischium, and pubis. The three centers meet at the triradiate cartilage and fuse at approximately 12 to 14 years of age Fig.
D o ligamento colateral ulnar. B proteína C reativa. Clinical diagnosis of Duchene muscular dystrophy is established by physical examination, including gait and specific muscle weakness, and by the absence of sensory deficits. The upper extremity and knee deep-tendom reflexes are lost early in the disease, whereas the ankle reflexes remain positive until the terminal phase. A valuable clinical sign is the Gower Sign. The patient is placed prone or in the sitting position on the floor and asked to rise.
This is usually difficult, and the patient may require the use of a chair for assistance. The patient is then asked to use his or her hands to grasp the lower legs and force the knees into extension.
The patients then walks his or her hands up the lower extremity to compensate for the weakness in the quadriceps and gluteus maximum. B medial do ectoderma. C lateral do mesoderma. D medial do mesoderma. The bones and connective tissues of the limbs are formed by lateral plate mesoderm , and the muscles originate from myotome regions of the somitic mesoderm. B medial e inferior. C lateral e superior.
D medial e superior. Neurovascular injury is unusual but has to be excluded by careful cli nical examination. Axillary nerve sensation should be examined as this is the most frequently affected nerve. Hypoesthesia over the lateral aspect of the proximal arm suggests an axillary nerve injury. Theoretically motor function of the axillary nerve can be assessed by palpating the deltoid as the patient attempts to actively extend, abduct, and flex the shoulder but pain often precludes this.
B macrófagos. C osteoblastos. D osteoclastos. Methapyseal bone adjacent to the Physis is the most common site for AHO to develop. Hobo 32 described vascular loops presents in the long bone methaphysis that take sharp bends and empty into venous lakes, creating areas of turbulence where bacteria accumulate and cause infection.
Relative absence of tissue macrophages in methapyseal bone adjacent to the physis appears to contribute to the predilection of osteomyelitis for this location. B escafocapitato. C radiossemilunar. D escafossemilunar. A proximal pole fracture may propagate through the interface between newly ossified tissue and the cartilaginous anlage, or the injury may be strictly through the cartilage.
Proximal fractures may cause destabilization of the scapholunate joint, as the scapholunate interosseous ligament remains attached to the avulsed fragment FONTE: Rockwood and Wilkins's Fractures in Children 8th Ed. B ósseo, muscular, tendíneo e ligamentar. C muscular, ósseo, ligamentar e tendíneo. D muscular, ósseo, tendíneo e ligamentar. As noted by Ilizarov, all tissues will respond to a slow application of prolonged tension with metaplasia and the differentiation into the corresponding tissue type.
Bone responds best followed by muscle, ligament, and tendons in that order. Neurovascular structures will respond with gradual new vessels and some degree of nerve and vessel lengthening.
A lap belt used for a child can create a point of rotation about which the spine is flexed with an abrupt stop. B C4-C5 ou C5-C6.
C C5-C6 ou C6-C7. D C6-C7 ou C7-T1. B disco intervertebral.